HomeMy WebLinkAbout2016-00674 (mech) CITY OF ORONO * z 0 1 6 — PJ 0 6 7 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/13/2016
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3470 BAYSIDE RD
PIN : OS-117-23-13-0014
LEGAL DESC : AUDITOR'S SUBD.NO. 203
: LOT 023 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,655.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
REPLACE: 1 HEATING SYSTEM(BYRANT)& 1 COOLING SYSTEM(BRYANT)
APPLICANT MECHANICAL 95.69
STATE SURCHARGE MECH(VALUATION) 3.83
PRONTO HEATING&AC MAIL-IN FEE 2.00
7415 CAHILL RD
EDINA, MN 55439- TOTAL 101.52
(952) 835-7777 Payment(s)
CREDIT CARD 2586 101.52
O W NER
WALSTEDT,JOHN&LYNN
3470 BAYSIDE RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
From:Pronto Heating and Air 952+767+9��0 06/70/20�6 09:74 #y24 P.002/004
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/���\� Cih�of Orono �
� �- �� P.O-t3ox 66 llate Reccived: � � ��ermit i/_,Z��o�" ����
'_750 Kclley Park��ay �
(ly,tal Day,MN SS3?3 Approved By: _� Amount$:___.���__,
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Phone(9i?)349-460p I'ax(9521'-�y-a�16 ---
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`��q . ��/ CI7'Y OF ORONO—MECHANICAL PERMIT
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�:_/ (All Commercial permits must be approved hy the Huilding Official or Inspector and/or(ire Marshull)
GENERAL 1NFORMATION �
I. You may apply for mechanical permits by mail or in person at dle City offices. Applications wil)
be reviewed and a pennit will be issued within two working days.
2. Permit cards will be sent by return mai3 after a revieu�is completed. PERMiTS 9RE NOT
VALID UN?1L YOli RECEIVE A PERM11'. WORK MUST N01'BEGIN liNTIL TI�IE
PER1�91T CARD IS POSTED ON TF�E JOB SITE.
i. Mechanical I7esiQns—Compkete caleulations,detai{s aiad specifications are required for each
heatin�.�•eratilation,humidification-dei�umidification,and air conditioning instailation including
heat loss/heat gain calculation,design temperatua•es,equipment ratings a��d identification as to
type,manufacti�rer and model. Data shall be presented on form provided.
4. When any�ew construction or remodeling is involved,a separate building permit must be
obtained.
5. Al(work must be done in accordance with the Lniform Mechanical Code/State Building Code
requirements,
6. AI!work must be inspected(rough-in and final). Cail(9�3)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
�Residentia{ ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVBJ
❑ New ❑Additional ❑Repairs �Rep{ace
Job Site/Owner Information:
Site Address: �L-�� � �')(����(��� �� •
Owner:��11'l ���vL���Gvl, Mailing Address: � � ' �i � ' 4�'t �
c�ry: ��2-1;�1`�G z�p: ��`� �
Home Phone: Alteinate Phone:
Contractor Information:
Contractor: �' � ����� Contact Person: 1�-�,1��..
5�����
Address: ��-Ir� ���� �`1��,�=t,'� � State Bond#: �');i�`��v �
City: ��1i�G�. Zip:��� Expiration Date: �J L���� �
Phone: ���„-C��- �11 `l � Alternate Phone:
❑ Insurance-Cui-�-ent:
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From:Pronto Heating and Air 962+767+9770 06/10/2016 09:Y5 #l24 P.003/004
, MECHANICAL SYSTEMS BEING INSTALLED Y `__
�ote: All Geothennal Systems��-ill i�o�v require a Site Ptan&Re��iew by our Buildii�g Official.
IS 1'HIS GEOTHE2'VTAL? ❑ Yes �I] No
HEA'CING SYS7'GMS
Quantity:
'vtake: '� , �
Model: ����
__._...__.____.___�___ _.W._._.___._.�____._.___ W._._�_.__.._._.__._
. ..___--
(�� r
Fuel: l V �,
Flue Size:
Input BTUs: �} � U��,� ___
Oirtput BTUs:
CFVI:
COOLING S)'STEMS
Quantity: �
Make: � � ����� _ -- -
Model: � � _ �
Tons:
H.Po���er
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Firep�ace
❑ Wood Stove b4odel No.:
❑ Wood Stove with Flue/Masomy Y
�'EtiTILATIUN
❑ No. Kitchen Exha��st duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. ____--- Other Fans: Locatians.__..__________...____ _.__.._.__.r cfm
FUEL STORAGE (Afust be upproved b��Frre Murshal!if proposrng to ubr�ndon tank in plare.)
❑ Installation ❑ Removal
Fuel OiL• gailvns ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
From:Pronto Heatinq and Afr 952+767+9110 06/l0/2016 09:�6 #l24 P.004/004
PERMIT FEE CALCULATIONS
1. CON7'RAC7'PRtCE *is 1?5`io of contract price with a(Minimum b'ee of�50.00)
1�V\1 U
x .0125$_�,_���__
(conu'ac�price) (minimum 550.00)
2. STATE SL'RCHARCE (`� �/
� � y y x.0005 $ �' ° �
__.___.______------._V_
� (contract price)
3_ POSTAGE&HP.?�?D1.ING(Only on Mail-In Applicatio�is) $ 2.00
�3. TOTAL PERi1�1IT FEE(Add Lines 3-3 Above) �����i
• * CO\TRACT PR10E or JOB COST mea��s the actual or estimated dollar amount charged for Fhe
pennitted N�ork includin�materials,labor,proFt,and other fixed co�ts. It is the amount to be charged
to the customer for tha work done, If any material,equipment,labor or installations are furnished by the
owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposcs. In the event that there is a dispute on the amount
of the job eost, the City may request the submission of a sigied copy of the actual co�itract.
MECHANICAL P�RM1T APPLICATIIaN AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do alI
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota,and eertifies that all statements�ziade on tliis application are complete,true and correct.
¢ f � � I� �
Applicant's Signature: �L;��.�,�� �✓ �Ls Date: �1.��� 1_ lL'
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E / � TIME
CITY OF ORONO CALLED IN '
INSPECTION NOTIC SCHEDULED — D— �O /�
PERMIT NO. -��7� o PLETED
ADDRESS � �-�
OWNER � EPHONE NO,'l�a-�7S-O -�'j�L
CONTRACTO �
� DESCRIPTION , Q� � �
�
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v D O-SITE ❑ SEPTIC INSTALL
Q WNERIC NTRACTOR TO MEET YOU:,�YES_NO
� COMMENTS:
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W� ❑VIfORK SATISFACTORY:PROCEED �-fiAp,lECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR HEINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLLREfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
ail for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlC tractor on site: �i�
nspectorF_ ._ ,�- '7'l��
White Copyllnspector's Flle Canary CopylSfte Notice